4FE-26194-49198

2 vaccinations 12 coded responses 25 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 749 / OK
Registered: 2021-04-17

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-17
Registered in v-safe
2021-04-17
Dose 1 — Moderna
2021-04-17
Health check-in — day 0, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Nausea — Feeling: Good · Site: Pain

Free text: Apr 17th in evening had mild nausea and pain started at injection site. Nausea was gone by morning of 18th. Never received text on Sat 18th for health check up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-21
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Purplish bruise about 2 inches appeared on back of right hand. No other bruises noted.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Still have bruise back of right hand- no new bruises noted.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Just bruise continues on right hand. No other new bruises.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — day 7, dose 1
MedDRA: Contusion, Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Rash- bruise on back of right hand fading. No new bruises.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-15
Dose 2 — Moderna
2021-05-15
Health check-in — day 0, dose 2
Feeling: Fair · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-16
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Decreased appetite, Heart rate increased — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: No appetite, last night had 4 or 5 episodes of sudden bounding rapid heart rate that lasted for a few seconds. None noted today. Brain fog starting to lift this afternoon.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Decreased appetite, Muscular weakness — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Weakness is improving- I can lift my feet off the floor to walk today rather than just slide the ball of my feet across the floor. However, my left leg is weaker than my right. Appetite improving but still poor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Fatigue — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Left leg as strong as right leg now. Little less fatigue today. Appetite almost normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — days 1–6 daily, dose 2
MedDRA: Mobility decreased — Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Can do more activities but have to lay down after about 4 hrs. Getting stronger.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Redness, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Able to do more, but not yardwork yet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Headache, Self-medication — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Slept well last night, but awakened with fatigue & a bad headache, unrelieved by Tylenol and coffee. Went into a deep sleep for 4 and half hours today and just awoke. The deep sleep combined with headache with fatigue, and feeling ok when I just awoke tells me this is related to all the rain we've been having that finally moved out of the area, probably NOT from the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-14
Survey response — 3 months, dose 2
MedDRA: Cough, Fatigue, Headache, SARS-CoV-2 test, Sneezing, Throat irritation — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Headache, cough, fatigue, occasional sneezing, scratchy throat · Healthcare visit (other): Covid test yesterday. Still awaiting results. Should know by Wednesday.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-14
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-23
Call 1 — Left Voicemail
2021-08-24
Call successful
Does not wish to fill out VAERS report
2021-11-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-15
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-17	Moderna
2	2021-05-15	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-19

Systemic reaction (other): Apr 17th in evening had mild nausea and pain started at injection site. Nausea was gone by morning of 18th. Never received text on Sat 18th for health check up.

2021-04-21

Systemic reaction (other): Purplish bruise about 2 inches appeared on back of right hand. No other bruises noted.

2021-04-22

Systemic reaction (other): Still have bruise back of right hand- no new bruises noted.

2021-04-23

Systemic reaction (other): Just bruise continues on right hand. No other new bruises.

Release 7 — day 7, dose 1

2021-04-24

Systemic reaction (other): Rash- bruise on back of right hand fading. No new bruises.

Release 8 — days 1–6 daily, dose 2

2021-05-16

Systemic reaction (other): No appetite, last night had 4 or 5 episodes of sudden bounding rapid heart rate that lasted for a few seconds. None noted today. Brain fog starting to lift this afternoon.

2021-05-17

Systemic reaction (other): Weakness is improving- I can lift my feet off the floor to walk today rather than just slide the ball of my feet across the floor. However, my left leg is weaker than my right. Appetite improving but still poor.

2021-05-18

Systemic reaction (other): Left leg as strong as right leg now. Little less fatigue today. Appetite almost normal.

2021-05-19

Systemic reaction (other): Can do more activities but have to lay down after about 4 hrs. Getting stronger.

2021-05-20

Systemic reaction (other): Able to do more, but not yardwork yet.

2021-05-21

Systemic reaction (other): Slept well last night, but awakened with fatigue & a bad headache, unrelieved by Tylenol and coffee. Went into a deep sleep for 4 and half hours today and just awoke. The deep sleep combined with headache with fatigue, and feeling ok when I just awoke tells me this is related to all the rain we've been having that finally moved out of the area, probably NOT from the vaccine.

Release 9 — 3 months, dose 2

2021-08-14

Symptoms: Headache, cough, fatigue, occasional sneezing, scratchy throat

Healthcare visit (other): Covid test yesterday. Still awaiting results. Should know by Wednesday.

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	SARS-CoV-2 test	✓	·	✓
SD	Cough	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	·	✓
SD	Sneezing	✓	·	✓
SD	Throat irritation	✓	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Brain fog	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release